The IMLC is the largest interstate licensing compact for physicians. It streamlines the process of getting a full, unrestricted medical license in any of its 42 operational member states — typically in a fraction of the time a direct state application would take. Three additional states (AR, NM, RI) have enacted the compact but are not yet issuing licenses.
The IMLC is open to physicians holding the MD or DO credential. To qualify for a Letter of Qualification, a physician must already hold a full, unrestricted medical license in one IMLC member state (the "state of principal license") and meet the compact's eligibility floor: graduation from an accredited medical school, completion of an ACGME or AOA accredited residency program, passage of USMLE or COMLEX within three attempts per step, and either current board certification or completion of residency within the past five years.
Physicians with disciplinary action, license restriction, malpractice judgments, or criminal history on their record are typically ineligible and must apply for state licenses individually.
The IMLC currently has 42 operational member jurisdictions, making it the most widely adopted medical-practice compact in the United States. Three additional states (AR, NM, RI) have enacted the compact but are not yet issuing licenses.
last_verified: 2026-05 · sourced from data/compacts.json
Applications are filed through the IMLC Commission's central portal. You designate a state of principal license, submit your credentialing materials once, and then request licenses from each member state you want practice rights in. Each requested state pays its own fee separately.
The Letter of Qualification fee is approximately $700 paid to the state of principal license, plus a per-state fee for each additional state (typically $300-$700 per state). Processing for the Letter of Qualification is typically 2-4 weeks once complete materials are received. Confirm current fees directly with the IMLC Commission. last_verified: 2026-05.
When your NPI shows an MD or DO credential, TeleVerify auto-detects IMLC eligibility and asks you to confirm enrollment in your provider profile. You enter your state of principal license and the list of IMLC member states where you've received state licenses. From then on, every telehealth session where the patient is located in one of your IMLC-licensed states is automatically classified as compliant_compact — no per-session state license lookup needed. Sessions where the patient is in a non-IMLC state (or an IMLC state you haven't yet licensed into) still route through the direct state-license pathway.
compliant_compact instead of requiring a direct state license lookup.